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Filing Papers MATERIAL FOR CANDIDATES YOU HAVE INDICATED YOUR DESIRE TO BECOME A CANDIDATE; THEREFORE, I HAND YOU THE 'ID FOLLOWING: 1. -" Qualifying Information & Municipal Election Schedule 2. ✓ Dates to Remember 3. ,/ Form DS -DE 9 Appointment of Campaign Treasurer and Designation of Campaign Depository for Candidates (8/03) - TO BE SIGNED AND RETURNED TO CITY CLERK INDICATING YOUR / INTENT TO RUN. 4. ✓ Residency Requirements (To be filled out and returned to City Clerk) 5. ✓ Form DS - DE 84 Statement of Candidate & copy of Chapter 106, Florida Statutes (Must be filed with City Clerk within 10 days after filing Appointment of Campaign Treasurer - Intent ) 6. ° State of Florida Election Laws - Chapters 99, 105 & 106 7. Guide to Sunshine Amendment & Code of Ethics for Public Officers and Employees 8. / Directions for Posting Temporary Political Sign 9. ✓ City Map and District Maps 10. i/ Part I Charter, Article VII. Elections - City of Boynton Beach 11. Part II Code of Ordinances - Chapter 2 Administration, Article III. Elections 12. 2. / Poll Watcher Form & FS 101.131 "Watchers at Polls" 13. ✓ Public Campaign Financing Handbook 14. ./ Candidate Petition Handbook 15. ✓ Blank Campaign Report Summary Sheets, Contributions Sheets & Expenditures Sheets 16. ." Petition Form - Candidate for Commissioner - TO BE FILLED OUT, CERTIFIED BY SUPERVISOR OF ELECTIONS AND RETURNED TO CITY CLERK DURING QUALIFYING 17. Form 1 Statement of Financial Interests 2014 - TO BE FILLED OUT, SIGNED & RETURNED TO THE CITY CLERK DURING QUALIFYING 18. L&A TESTING NOTICE (SIGN AND RETURN AT TIME OF QUALIFYING.) 19. Loyalty Oath - Oath of Candidate (DS - DE 24B) - TO BE RETURNED TO CITY CLERK DURING ALIFYING RECEIVED BY cN1/4 • („ 1 tojt;c, 3u,o-E- (vi Candidate Signature Date Signed -1) 1 • I Sr. II • Pfrca t let M. Prainito, MMC ity Clerk 5/26/2015 3:33 PM S: \CC \WP \ELECTION \YEAR 2016 \Information Packets \MATERIAL FOR CANDATES.doc q � ,,b, Co J�� APPOINTMENT OF CAMPAIGN TREASURER % t AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES (Section 106.021(1), F.S.) (PLEASE PRINT OR TYPE) NOTE: This form must be on file with the qualifying officer before opening the campaign account. OFFICE USE ONLY 1. CHECK APPROPRIATE BOX(ES): Initial Filing of Form Re -filing to Change: ❑ Treasurer /Deputy ❑ Depository ❑ Office ❑ Party 2. Name of Candidate (in this order: First, Middle, Last) 3. Address (include post office f box or street, city state, zip Tom» C,- code) a \ b�-0vE �11 4. Telephone 5. E -mail address I g 3 6. Office sought (include district, circuit, groi p number) 7. If a candidate for a nonpartisan office, check if ri applicable: ❑ My intent is to run as a Write -In candidate. 8. If a candidate for a partisan office, check block and fill in name of party as applicable: My intent is to run as a ❑ Write -In .J No Party Affiliation ❑ Party candidate. 9.1 have appointed the following person to act as my ❑ Campaign Treasurer ❑ Deputy Treasurer .0. Name of Treasurer or Deputy Treasurer 11. Mailing Address 12. Telephone 8 cT 0 ) _ (541 )93b ^ (1rJ2 13. City County 15. State 16. Zip Code 17. E -mail address �� Icr. n ' --IA _L- 33`f36 p er anar 5( V , 18. 1iiave designated the following bank as my J4 Primary Depository ❑ Secondary Depository 19. Name of Bank 20. Address TO ( 16 ®1 (... Itt q 9 B erFA 6L190 21. City 22. County 23. State 24. Zip Code 1 �fl t ` i— 334-3 L. UNDER ENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING FORM FOR APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY AND TA9HE FACTS STATED IN IT ARE TRUE. 25. Date June' 3 a0, x c 6 26. Si nat re of Candidate n,,h 27. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block) n , I, I C f. C , do hereby accept the appointment (Please Print or Type Name) iesignated above as: - ' Campaign Treasure i • Deputy Treasurer. X Si A_ : illiiA IL. Date Sign ure of Campaign Tre' -s rer or Deputy Treasurer DS -DE 9 (Rev. 10/10) Rule 1S- 2.0001, F.A.C. RESIDENCY REQUIREMENTS I, Do , candidate for (Print Name) • of the City (Mayor/ — District #) Beach, have received, read and understand the residency requirements of Article II of the Charter of the City of Boynton Beach. (Signature of Candidate) .t 3 .;off (Date) c IJ 11/12/2013 12:31 PM V � S:\CC \WP \ELECTION \Year 2014 \Information Packets\RESIDENCY REQUIREMENTS STATEMENT.doc �� OFFICE USE ONLY STATEMENT OF �� CANDIDATE 0 6 s Z (Section 106.023, F.S.) �g�9® J� (Please print or type) i,, candidate for the office of C have been provided access to read and understand the requirements of Chapter 106, Florida Statutes. X ill . E � g01 Signature of Candidate Date Each candidate must file a statement with the qualifying officer within 10 days after the Appointment of Campaign Treasurer and Designation of Campaign Depository is filed. Willful failure to file this form is a first degree misdemeanor and a civil violation of the Campaign Financing Act which may result in a fine of up to $1,000, (ss. 106.19(1)(c), 106.265(1), Florida Statutes). DS -DE 84 (05/11) The City of Boynton Beach ,-rY o, City Clerk's Office c7 CO\ 100 E BOYNTON BEACH BLVD W 2 BOYNTON BEACH FL 33435 c.. : � `1 w r ( 742 -6060 r te— n Q : FAX: (561) 742 -6090 a �W /1/ N e E -mail: prainitoj @bbfl.us 7) - < www.boynton- beach.org m vio © ox PUBLIC NOTICE �� co m� z TO: CANDIDATES, POLITICAL PARTIES AND OTHERS NOTICE IS HEREBY GIVEN that the Logic & Accuracy (L&A) testing of the voting equipment to be used in the March 15, 2016 General Election will be held: Wednesday, February 24, 2016 @ 10:00 a.m. Supervisor of Elections Warehouse 7835 Central Industrial Drive Riviera Beach, Florida R PT f this notice is hereby by ocumented: do (1111 1 , c. c QC\--c),)1\.) cumented: L X01 Signature Date Received DETACH IF YOU AND /OR YOUR REPRESENTATIVE(S) plan(s) to attend the Logic & ccuracy (L&A) testing on We.4nt s•, Feb • 44, COI(o , please detach a d ret . .helower portion of this notice to the City Clerk. flif 0 A4?-------, '.--- ignature #Attending S: \CC \WP \ELECTION \YEAR 2016 \Information Packets \L&A Testing Public Notice - For Candidate's Signature.doc Catch a Wave, Catch a Fish, Catch Your Breath - Breeze Into Boynton Beach America's Gateway to the Gulfstream 1 'ti GATV O . Mince / /aneo[rs Cash R ecei p t No. CITY OF BOYNTON BEACH ti TON , gy p. _ � Account No. 001 -00[ 0—> i69 10•-00 $ 25.00 1 120 Received of David T. Merker r l = : Addr 8 Southport Lane #D, Boynton B h LI 33436 47797 . - * Utte r f i /f li 5 O PO Ot,tial For City Filing Fee to run for Mayor -0.bci.ttitaidh 15 • 2016 - r , am ay t . 1 Dept. City Clerk l s Office B ;. t pA. Miscellaneous Cash Receipt Y N CITY OF BOYNTON BEACH _ O AP Account No. 001- 0000 ®369-10-00 .$ 259.26 :. 120 Received of Davi T. m Merk Address 8 Southport Lane #D, Boynton BeK ., 4 33436 l a ti R : L i(BZ4 0a: • no_ 47707 .. For 1% � State Assessment to run for i ay io n��ch -15, 201 Tutcd cN 1 ; $E2 i Dept. City C1erli B s Of f c e B t FORM 1 STATEMENT OF 2014 Please print or type your name, mailing l FINANCIAL INTERE STS I FOR OFFICE USE ONLY: address, agency name, and position below: LAST NAME -- FIRST NAME -- MIDDLE NAME : MAILING ADDRESS : t crt CIT ; : ) ZIP : COUNTY : , n NAME F AGENCY cn Ch NAME OF FFICE OR PO TION HELD OR SOUGHT : © -aW Fi . You are not limited to the space on the lines on this form. Attach additional sheets, if necessary. r'*lt7 D / CHECK ONLY IF s 1 CANDIDATE OR ❑ NEW EMPLOYEE ORAPPOINTE � * * ** BOTH PARTS OF THIS SECTION MUST BE COMPLETED * * ** DISCLOSURE PERIOD: THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR THE PRECEDING TAX YEAR, WHETHER BASED ON A CALENDAR YEAR OR ON A FISCAL YEAR. PLEASE STATE BELOW WHETHER THIS STATEMENT IS FOR THE PRECEDING TAX YEAR ENDING EITHER (must check one): ❑ DECEMBER 31, 2014 OR ❑ SPECIFY TAX YEAR IF OTHER THAN THE CALENDAR YEAR: • MANNER OF CALCULATING REPORTABLE INTERESTS: FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THATARE ABSOLUTE DOLLAR VALUES, WHICH REQUIRES FEWER CALCULATIONS, OR USING COMPARATIVE THRESHOLDS, WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details). CHECK THE ONE YOU ARE USING: ❑ COMPARATIVE (PERCENTAGE) THRESHOLDS OR DOLLAR VALUE THRESHOLDS PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions] (If you have nothing to report, write "none" or "n /a ") NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCE'S OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY . 0 am .-D Z-1 iq L S i , PART B — SECONDARY SOURCES OF INCOME [Major customers, clients, and other sources of income to businesses owned by the reporting person - See instructions] . (If you have nothing to report, write "none" or "n /a ") NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS' INCOME OF SOURCE ACTIVITY OF SOURCE • Aterci ...... e , _ — PART C — REAL PROPERTY [Land, buildings owned by the reporting person - See instructions] (If you have nothing to report, write "none" or "n /a ") FILING INSTRUCTIONS for when and where to file this form are located at the bottom of page 2. 11461t INSTRUCTIONS on who must file . this form and how to fill it out _ begin on page 3. CE FORM 1 - Effective: January 1, 2015 (Continued on reverse side) PAGE 1 Adopted by reference in Rule 34-8.202(1), F.A.C. PART D — INTANGIBLE PERSONAL PROPERTY [Stocks, bonds, certificates of deposit, etc. - See instructions] (If you have nothing to report, write "none" or "n /a ") TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES IA Y f � � ,01 y (Qy, • PART E — LIABILITIES [Major debts - See instructions] ' IA (If you have nothing to report; write "none" or "n /a ") NAME OF CREDITOR • ADDRESS OF CREDITOR . . PART F — INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses •- See instructions] (If you have nothing to report, write "none" or "n /a ") BUSINESS ENTITY # 1 BUSINESS ENTITY # 2 NAME OF BUSINESS ENTITY ADDRESS OF BUSINESS ENTITY • PRINCIPAL BUSINESS ACTIVITY POSITION HELD WITH ENTITY I OWN MORE THAN A 5% INTEREST IN THE BUSINESS NATURE OF MY OWNERSHIP INTEREST IF ANY OF PARTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE ❑ SIGNATURE OF FILER: CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473, or Sign- attorney in good standing with the Florida Bar prepared this form for you, he or she must complete the following statement: prepared the CE Form 1 in accordance with Section 112.3145, Florida Statutes, and the instructions to the form. Upon my reasonable knowledge and belief, the disclosure herein is true and correct. Date Signed: • CPA/Attorney Signature: OO' i C� 0 Date Signed: FILING INSTRUCTIONS: WHAT TO FILE: WHERE TO FILE: WHEN TO FILE: After completing all parts of this form, including If you were mailed the form by the Commission Initially, each local officer /employee, state officer, signing and dating it send back only the first on Ethics or a County Supervisor of Elections for and specified state employee must file within sheet (pages 1 and 2) for filing. your annual disclosure filing, return the form to 30 days of the date of his or her appointment that location. or of the beginning of employment. Appointees If you have nothing to report in a particular Local officers /employees file with the who must be confirmed by the Senate must file section, you must write "none" or "n /a" in that Supervisor of Elections of the county in which they prior to confirmation, even if that is less than section(s). permanently reside. (If you do not permanently 30 days from the date of their appointment. reside in Florida, file with the Supervisor of the Candidates for publicly -elected local office must NOTE: county where your agency has its headquarters.) file at the same time they file their qualifying MULTIPLE FILING UNNECESSARY: papers. A candidate who previously filed Form 1 because State officers or specified state employees Thereafter, local officers /employees, state file with the Commission on Ethics, PO. Drawer of another public position must at least file a copy 15709, Tallahassee, FL 32317 -5709; physical officers, and specified state employees are of his or her original Form 1 when qualifying. A address: 325 John Knox Road, Building E, Suite required to file by July 1st following each calendar candidate who files a Form 1 with a qualifying 200, Tallahassee, FL 32303. year in which they hold their positions. officer is not required to file with the Commission Finally, at the end of office or employment, each or Supervisor of Elections. Candidates file this form together with their local officer /employee, state officer, and specified qualifying papers. state employee is required to file a final disclosure To determine what category your position falls . form (Form 1 F) within 60 days of leaving office or under, see the 'Who Must File" Instructions on employment. However, filing a CE Form 1F (Final page 3. Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if he or she was in Facsimiles will not be accepted. their position on December 31, 2014. CE FORM 1 - Effective: January 1, 2015. PAGE 2 Adopted by reference in Rule 34- 8.202(1), F.A.C. c iTY °F BOYt rim BEACH 'WY OFBOYHTE* BE CANDIDATE OATH - CITY CLERK'S OFFICE CITY CLERK'S OFF1 NONPARTISAN OFFICE 15 NOV -9 AH.10 0 d '15 NOV —9 At 10' (Not for use by Judicial or School Board Candidates) OFFICE USE ONLY OATH OF CANDIDATE • (Section 99.021, Florida Statutes) i , F �'� (PLEASE PRINT NAME AS YOU WISH IT TO APPEAR ON THE BALLOT * — NAME MAY NOT BE CHANGED AFTER THE END OF QUALIFYING) am a candidate for the nonpartisan office of r F (office) (district #) ; 1 am a qualified elector o f b si County, Florida; (circuit #) (group or seat #) 1 am qualified under the Constitution and the Laws of Florida to hold the office to which I desire to be nominated or elected; I have qualified for no other public office in the state, the term of which office or any part thereof runs concurrent with the office I seek; and I have resigned from any office from which I am required to resign pursuant to Secti• • 99.012, Florida Statutes; and I will support the Constitution of the United States and the Constitution of the State of ' •rids. QsO -L.) e -S G. C'ety,k Z-(ATAVN ) Signature of Candidate Telephone Number Email Address ct D 13z1N16c BK-ro, 'SILO Address City State ZIP Code ,✓ I Candidate's Florida Voter Registration Number (located on your voter information card): 11 pill- 34V * Please print name phonetically on the line below as you wish it to be pronounced on the audio ballot for persons with disabilities (see instructions on page 2 of this form): STATE OF FLORIDA COUNTY OF RI Sworn to (or affirmed) and subscribed before me this , q day of NO veil) ber , 20 1. . Personally Known: f/ or ail e P 1./? nature of Notary Public Produced Identification: r rint, Type, or Stamp Commissioned Name of Notary Public Type of Identification Produced: .., JANET M. PRAINITO =' MY COMMISSION if FF 142411 DS -DE 25 (Rev. 5/11) t Bonded Thru Notary Public Unden uriters -2 0001, F.A.C. _ OF FZOq,� �� ecAA • L 'pj �+�� : : Palm Beach County ° � s r� I Q s ."'hhf!Ps. Pp 240 SOUTH MILITARY TRAIL WEST PALM BEACH, FL 33415 POST OFFICE BOX 22309 WEST PALM BEACH, FL 33416 SUSAN BUCHER Supervisor of Elections TELEPHONE: (561) 656 -6200 FAX NUMBER: [561 ] 856 -6287 WEBSITE: www.pbcelections.org CERTIFICATION I, SUSAN BUCHER, SUPERVISOR OF ELECTIONS, for Palm Beach County, Florida, do hereby certify that 47 signatures on the Nominating Petitions of DAVID T. MERKER for MAYOR of BOYNTON BEACH are registered electors within the municipal limits of the City of Boynton Beach, according to the registration records on file in this office. This is to further certify that DAVID THEODORE MERKER is a registered voter in Precinct 4050, in the City of Boynton Beach, Florida. Signed, this the 5th day of November, 2015. .._ c', bAth r• ezi SU AN BUCHER SUPERVISOR OF ELECTIONS =la "` c, o : PALM BEACH COUNTY CD cay -- m e s (SEAL) • • CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] ' - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition m. t 1/ 6 (( iv S jr/jy (, the undersigned, a regis re vot r (print name as it appears on your voter information card) in said state and county, petition to have the name of n l i kC) 1 \Lt placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisa No party affiliation ❑ Party candidate for the office of (insert title of o ice and include district, circuit, group, seat number, if applicable) • Date of Birth or Voter Registration Number Address (MM / +!D ) City County State Zip Code Signature of Voter Date Signed (MMIDD/YY) O ZCI I/l [to be completed by Voter] Rule 1S- 2.045, F.A.C. { � DS -DE 104 (Eff. 09/11) U) a� b Y l r47 r di rrl --n --.1 CD >' sn CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statut - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition for«. FQ� e \ 7 the undersigned, a registered voter (print na a as it appears on your voter information card) ti in said state and county, petition to have the name of f \J 1 0 1 ( 1 n �— placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisan EX No party affiliation ❑ Party candidate for the office of V' f» (insert title of o ice and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM /DD/YY) )/raY 55 9 ' && o\ 1.3\tue it County State Zip Code &CA Via-u ) E :\--\ 3 \3 ti Signature of Voter ` Date Signed (MM /DD/YY) 1' [to be completed by V ter] 1 COPip. Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) —.m v C; C) K q erg CANDIDATE PETITION V Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. I,'. OA (U &_lo r the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] D Nonpartisan kNo party affiliation ❑ Party candidate for the office of (insert title o office and include district, circuit, group, seat number, if applicable) Date of Birth or Vot r Regi tration Number A dress �MMIDD/YY) �� S � r e - -)C City County State Zip Code tn+ t f 0- I en PIQI\ FL 3343 t Signat re of Voter Date Signed (MM /DD/YY) e,....„ dc,?-- [to be c mplete by Voter] Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) '-,-- r :✓) cyy : Ili r / f, —1 n1 4 r t.) CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition for . D A , , 0 7 the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of 1 \' i 1 (\IL placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisan IZ No party affiliation ❑ Party candidate for the office of (insert title of o ice and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registrati n Number Address s ) - (MM DD ) 0130) City County State Zip Code ,* Tetien 333, Sig • ture of Voted Date Signed (MM /DD/YY) I a � � �� � �� [to be aompl�eted by Voter] 6 l�� Rule IS- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) y r"r1 C 1 , ;2 7 C'7 ."� '" C Vim Pia CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. r the undersigned, a registered voter (print nam as it appears on your voter information card) in said state and county, petition to have the name of l i ) placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisan No party affiliation ❑ Party candidate for the office of (insert title of o ce and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address /Y (MM /DDY) 1 - / st _ D PaRT L fi 1&1 e City County State Zip Code Signature of Voter Date Signed (MMIDD/YY) [to be completed by Voter] e56 eaR+1„,,c01±,1 Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 109.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition for . _ 1^ 1 / 1J ( [ 72 the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of 1_117) placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisan 1 No party affiliation ❑ Party candidate for the office of (insert ti le of o ce and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (NIMIDD/YY) 49- City County State Zip Code _2131x-.1 ` To 1 j L 3343 L Sig : r re of Voter Date Signed (MMIDD/YY) ,r [to be completed by Voter] er �/ Rule 1S- 2.045, .A.C. DS -DE 104 (Eff. 09/11) f h r:" 471 D i C - -- - •• -) r �j CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition fo . 5 e 1 (-el c the undersigned, a registered voter I (print name as it appears on your voter information card) in said state and county, petition to have the name of ORO , IM1C-tS- placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisan t No party affiliation ❑ Party candidate for the office of (insert title of ffice and include district, circuit, group, seat number, if applicable) Date of Birth or Voter egistration Number Address (MM /DD/YY) U I fi Ct9D( s Wi City County State Zip Code erdirdt/4( `er—/(a) ° -1;) 23cf3 Signature of Voter Date Signed (MM /DD/YY) [to be completed py Vot r] Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) — r • Gam? : =."J MI C C -7) 1 4. zr. r7 CM r r— .t cn CANDIDATE PETITION / Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. �d - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on thiss form is not completed, the form will not be valid as a Candidate Petition form. I, / iii el N the undersigned, a registered voter / rint name as it appears on your voter information card) in said state and county, petition to have the name of ) \`D ] cs .o placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisan U party affiliation ❑ Party candidate for the office of (insert title ff office and include district, circuit, group, seat number, if applicable) Date of Birt r f � Voter Registration Number Address / (MMIDDIY G Y! 0 C L9 Lf `" G / 1 re) City ��� h C// mit/ Zip Co + d ' e V c ) f State / J S ignatur of Voter Date Si ned MMI/ //1/ [to be ompl ed DD V 45 Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09111) j co za. .ri -T_ 4 c . c -q 'T1 ,- r._rr — rl r-- '-J c tf) CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Peti i-t\t (R 0 ¶ the undersigned, a r,-gis' -red voter kr{ --' (print name as i1 appears on your voter information card) in said state and county, petition to have the name of 1 1 placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisan [X No party affiliation ❑ ? r ' Party candidate for the office of (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address 0.3 CIfie ett lc -axe (MM/ 0 T I ) /,3 1 ) 'Oyn �C2C� , L �3•(a -6. City County State Zip Code - Signatur f Voter Date Signed (MMIDDIYY) [to be completed by Voter] r CDlaC=)/eS 1S Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) Cl) cr, : r� ■ CV :ar C3 f 1 —{ r r) CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition for . I, 17 Il/ 2.ti{ () S r v A.-EA the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of 1J , YI f CV (\\C placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisan Ori No party affiliation ❑ Party candidate for the office of (insert title of 'Vice and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address City r Cou Steep/ Zip Code y y ep�7 44 o f � � c y.? 6 Signature .f oter Date Signed (MM!DD/YY) • [to be completed by Voter] 6 Rule 1S- 2.045, F.A.C. DS -DE 104 (Eft. 09/11) ,7 C ;, r '.) C1 +) C) r 1 rn 0 0 ;FS CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form i yA3--v,j.9 ` SS the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of IDS J C�IC�'it placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisan ANo party affiliation ❑ Party candidate for the office of (insert title of 1 office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address ( 1, 'Oat A L- fNOC (M DD ) City County State Zip Code 1 � 1v 33 4-1° Signatur- of Vot= Date Signed (MMIDD/YY) [to be completed by Voter] e 1?,s Rule 1S- 2.045, F.A. . DS -DE 104 (Eff. 09/11) 2j : ",a C1) - rq , t ._ rf L wCl ,.a te I :._.? : C"; C3 C) C.'7 CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition for . I, 6 P A 0 G' lar f J A the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of fin(' n ) . E 1C X61 • placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of fl y�ffi1 (insert tit 'e of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Reg Number Address (MM /7 /YY) vA o Viso 5 ° 0 b / 9c1 i i kiili City County State Zip Code / /,-4 A/rh Amq /— / Signature of i Date Signe (MM/ D/YY) [to be m /eted Voter] Rule 1S- 2.045, F.A.C. � DS -DE 104 (Eff. 09/11) : :0 V ii rr 7 . 73 r J .,y i t 7 (..) ‘ .111 -- - ta r' `"J , 1 f) CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. - I , J /{ 11 o 4., ,7 (' / ® the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of nip& it • placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisan '0:d No party affiliation ❑ Party candidate for the office of MGyaZ (insert tie of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM /DDNY ) # 7r N Ty ../ (,..) 0 City County State 1 Zip Code �3 b /,t % ?^) /54c pp /3 r= 4 f—/ / = t - . ? f 3 �' Signature of Voter Date Signed (MM /DD/YY) [to be completed by Voter] � �� p �y�Z0 /J (: m!IS- 2. 045, F.A.C. DS -DE 104 (Eff. 09/11) • Py rj t""_ , . , te .. CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petiti n for 1, A R • SI®Gp, the undersigned, a registe ed voter (print name as it appears on your voter information card) in said state and county, petition to have the name of Del )1c) placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisan NI No party affiliation ❑ Party candidate for the office of (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM /DD , ) Ci County State Zip Code �. - � � B `cwt Signs ure of Voter Date Signed (MM /DD/YY) [to be completed by Voter] , / a "#". O7 J/ Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) C..77 . •I r r; ni • —t -• • (D -17 CD CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] ■T - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. �(� g VTt 1 OO i C 0 phi fl i rr6111 0.l the undersigned, a registered voter (print name as it appears on you voter information card) in said state and county, petition to have the name of ( j n , i ` EV placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisan tgl No party affiliation ❑ Party candidate for the office of (insert title of office nd include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM /DD/YY) ).(azs et) City County State Zip Code . � ?Auer> Ze l.a 53'1 3 5 Signature of Voter Date Signed (MM /DD/YY) [to be comple d by ter] i8 15 Rule 1S- 2.045, F.A.C. -DE 104 (Eff. 09/11) r ?L 43 . ij C" : ra°7 4 C Ana +ate W vV CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition for . I P a the undersigned, a registered voter 1 6 (print name as it appears on your voter information card) in said state and county, petition to have the name of placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisan No party affiliation ❑ Party candidate for the office of (insert title of offic an include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM /DD/YY) / v �isti7 l3 A- le i-17 at - Cit County State Zip Code &6)/1\)\31 TPA 9 3�1 ( 40 Si. , ature , Votel' Date Signed (MM /DD/YY) [to be completed y Voter] ' ,� 6 Rule 1-- 2.145, F.A.C. DS -DE 104 (Eff. 09/11) r— ' �' r: ,,y cj C?j CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. 0 e n !7 1 (1 /� l/ L AIR); the undersigned, a registered voter )rint name as it appears on your voter information card) in said state and county, petition to have the name of Ok'r 1 (r (.,,( AL placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] No party affiliation Party office of Nonpartisan p y ❑ y candidate for the of (insert title of o and include district, circuit, group, seat number, if applicable) Date of Birt or Voter Registration Number Address 166 /XV Zats (1)/9-y lo s boa City County State Zip Code 13n t6NMV ¥Wr 3 F2-- A T343 Signatur oter Date Signed (MMIDD/YY) a/57 [to be omelet by Voter] Rule - .045, F DS -DE 104 (Eff. 09/11) i r r ° a 'Li e_r . i 71 ri c CC":1 1 9 r . Cri ;< • • C) r°- rJ fel CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form c � the undersigned, a registered voter (print name as it appears . your voter information card) in said state and county, petition to have the na e of 1( g) n 1 ^ c\ placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisan 14 No party affiliation ❑ Party candidate for the office of c (insert title of Tice and include district, circuit, group, seat number, if applicable) Date o irt or Voter Registration Number Address (MM /DD/YY) (2 z %3 City County State Zip Code ilik 43L.t-GA..\ four\ biltr....4K crL, 3 5 5 Signature of Vo er Date Signed (MM /DD/YY) [to be complet d by oter] Rule 1S -2 45, F. LC. s DS -DE 104 (Eff. 09/11) r , -; I T C -"� . MY hi .� H`' � - 4 a r Co 1 CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed the form will not be valid as a Candidate Petition form. I, Afe- 4/��.1/1/ the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of bA�91 C7 ' 1 En 11 placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisan No party affiliation ❑ Party candidate for the office of ' v (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MMIDD/YY) ! 3 i ' 2A VA._ r City Cognty State Zip Code 1rt 144-P1 &- 7 53 Signature of Voter / Date Signed (MMIDD/YY) [to be co plefed by Voter] ,e . Z , Rule 1S- 2.045, F.A.C. s / DS -DE 104 (Eff. 09/11) C,.ry ›. rV , r ` 0 a , i .: t-r r't , c `° - ., j ? c--) cn r --r 1-7 :-< C . T --- c... • CANDIDATE PETITI ®RI /19(9 Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. I, 4da/ >n lea x e S'ri d e rlM cl R the undersigned, a registered voter (print name as it appears on your voter information card) ` in said state and county, petition to have the name of hits �C - placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisan 0 No party affiliation ❑ Party candidate for the office of P (insert title of offi and include district, circuit, group, seat number, if applicable) Date (M l g of Birth or Voter Registration umber Address 3 0 � 7 . 3 l � - i t r � ' f S (71r � ' e 6 0 a a • Ci l County State Zip Code nto n rgecq c R /In sic h iroP e .)f 6 Signature of Voter Date Signed (MM /DDIVY) [to be completed by Voter] c adze,f4,. A;(/-4i.ee--ke ) .2.o i Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) • 2 ` mot 4i e �m r— CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. ti - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition for 1 (jl the undersigned, a registered voter (print name as it appears on your voter information card) 1 in said state and county, petition to have the name of L ( - J ( 1S placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisan No party affiliation ❑ Party candidate for the office of (insert title of offi and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MMIDD/YY) >/3/9.1 6 2 - 7 4 1 4 : 9 7 ` 4 4 / 5 0 4 e€ City County State Zip Code tC):(6)\3/ BE ..00''At qt )-kki--- > ‘4?)0Q-1A VC 3 _3 /35 - 0 Signature of Voter Date Signed (MM /DD/YY) [to be completed by Voter] �� /o it .Z AS I Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) : > :d'. :: C") e. cj CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information n this form is not completed, the fo will not be valid as a Candidate Petition form. pi � I, print me as i mp,y ` � the undersigned, a registered voter appea (print PP s o your voter information card) in said state and county, petition'to have the name of I \ l 1 4 � placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisan Cla No party affiliation ❑ Party candidate for the office of (insert titlepf office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM /DD G � U YY ) "1 4'). v)P-/d/e City Cou ty State Zip Code �� — F3/36 Signat of Vot r Date Signed (MM /DD/YY) Ai(jr.7 [to be completed by oter] Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09111) L r i ri- C t. - rr CANDIDATE PETITION 1 1/ 7 / 0 ( m Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] ____/ - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. ® 4-/z/?, 1 A/' j4/P Pph/ : the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of ( '1n placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisan g] No party affiliation ❑ Party candidate for the office of ffice a and include district, circuit group, number, if applicable) (insert title , g p, PP ) Date of Birth or 1 Voter Registration Number Address (MM /DD/YY) O �?/0 4 / 9 6TS ,t/4' /.5/4 /6 City County State Zip Code " QQ V +cr C 3 5V-3 Signature o Voter Date Signed (MMIDDIYY) [to be co plete by Voter] tff 1 _5 Rule - 2.045, F • . DS -DE 104 (Eff. 09/11) f " rr7 r r/ Crj CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. v/p(z- - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form I the undersigned, a registered voter (print name as it appear4 our voter information card) in said state and county, petition to have the name of 1r) placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisan party affiliation ❑ Party candidate for the office of (insert ti a of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address cs \ C State Zip ���� ( Signature of Voter Date Signed (MMIDD/YY) •�� �\� � [ft omplet�d Voter] ^` \` � OUP Rule 1S -2. 45, F.A.C. DS -DE 104 (Eff. 09/11) C.-ti ' Ctt rrs C" C) r , , - ® r7 ti r— op c C.7 CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition orm. _ 1, r � a �'� A—)Le-c—dS the undersigned, a registered voter (print name as it appear elk our voter information card) in said state and county, petition to have the name of c\TheSkt placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisan ;41 No party affiliation ❑ Party candidate for the office of (insert title of o ce and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD ) C f ')X 3 1P- 9 .ty unty State ZipcCode Signature of Voter Date Signed (MM /DD/YY) f d bVoter] Rule 1S- ',7 F.A.0 DS -DE 104 (Eff. 09/11) r 0 ■ CD 1 42,1 - '1 , 7 ._1 - t r— ` D CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] . - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition f m. D &1Q U Ll `` 7 ,/ /_,, 1 the undersigned, a registered voter V \ (pr int name as it appears o on your voter information card) in said state and county, petition to have the name of 0V1 placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisanlo party affiliation ❑ Party candidate for the office of (insert title of offi and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address ��! (MM /DD/YY) / /_ S oce-r /f/WeT /4-A) ( City County �1 Sta Zip Code J.� J t 1 m '� ' P)t 7 Signature of Voter Date Signed (MMIDDIYY) fo be completed by Voter] jor Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) 0) - ; "7 77 Zr. ' .l~' " C) 0) CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information 0. this form 's not completed, the form will not be valid as a Candidate Petition forn IiiiilWi�WHIlltillit 6 the undersigned, a registered voter prin 'name =s t -ppear : your vg information card) in said state and county, petition to have the name of 1 o 1 - i ‘ 1 \ \/ placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] 0 Nonpartisan ] No party affiliation 0 Party candidate for the office of (insert title of office nd include district, circuit, group, seat number, if applicable) Date of Birth or Vote' Registration Number Address . I `� �j q ' ----7 (MMIDD/YY) - a if) / .1' it �� / Ili J't) • '", l City County State Zip Code f/ hbiN) a e)\ p FL V35 pate of V% / Date Signed (MMIDD/YY) [to be com feted by V 'ter] li r / L e 1Ss7.(5, F.A.C. DS -DE 104 (Eff. 09111) '1) r = . " 1'— 7 74: i'11 7 ' > _J C—.) 1 IT T CD -17D r r"C 1 LO ;� r uL d'7: CANDIDATE PETITION J Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. the undersigned, a registered voter . 1 ;)71,„1/ .-- 6 , C9 (print name as it appears on your vot-. nformation card) in said state and county, petition to have the name of /At' V 1 c" ( - �L�\ placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisan No party affiliation ❑ Party candidate for the office of (insert title of office and include distr , 'rcuit, group, seat number, if applicable) Date of Birt or V ter Registration Number ddress (MM /DD/YY) i-115 3 sui 13 A-u-e_ Ci County A izy,s, Sta Zip Code I V (-6-e_CLeilA--/ 3 3 1+3 5 Signature of Voter Date Signed (MM/ D/YY) [to be com l b Voter] �o rs 15 Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) Gn r'i Zr. At '72 rrt rri C"S � C7 - i "} t.j i 7 CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If requested information on this form is not completed, the form will not be valid as a Candidate Petition form. ,/ `V Be- e 0,ovw --- the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of .L.W \ �\--V \CCV placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisan al No party affiliation ❑ Party candidate for the office of (insert title of office nd include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address D ) I ° I 1 ' 0 City ount State Zip Code WO I or, = Si- u - of Voter Date Signed (MM /DD/YY) [to be completed by Voter 7/57 Rule 1S- 2.0A.C. DS -DE 104 (Eff. 09/11) P y� rt , 7 rn D7.7 1 A CD - r T CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. tit ` , the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of 019k } 1l, 1 T Cr) 1Cr placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisan '41 No party affiliation D Party candidate for the office of (insert title of office nd include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Nu ber Address (MM /DD/YY) I 1 I � 3150 City County State Zip Code ._ PO- trr) Re L- Signature of V to Date Signed (MM /DD/YY) [to be completed by Voter] Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) rT7 CD � .70 C A (`11 • • r) • Cr"y CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition for ` the undersigned, a registered voter (print name as it appears on your oter information card) in said state and county, petition to have the name of �' CC placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisan No party affiliation ❑ Party candidate for the office of r 114Z i oo (insert title of ffice and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM /DD/YY) V),\()%, \ eA \ \ c & \r . City County State Zip Code 13$2tt li;c1nr, vo:c_1\ Signature of Vote Date Signed (MM /DD/YY) [to be comple ed by Voter] [ P Y ] Rule 1S- 2.045, F.A.C. jj DS -DE 104 (Eff. 09111) rro l r rl r i 4o c,) CANDIDATE PETITION JAz".-] Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes) - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. I,'', cl.C_-1 IAA -( 7 the undersigned, a registered voter I (print name name as it appears on your voter information card) in said state and county, petition to have the name of 'fl ii `1 t _ &1 placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisallo party affiliation ❑ Party candidate for the office of (insert title of ice and include district, circuit, group, seat number, if applicable) 7 Date of Birth or Voter Registration Number Address (MMIDDIYY) q s ig R .R .. s ,,,,... _ City County State Zip Code BOrOl A- TftLIrc is , 333 Signature of Voter Date Signed (MMIDD/YY) NIN\ 10 ed [to be c ed ( � by Voter] J r On Z Rule 1S- 2.045, F.A.C. I DS -DE 104 (ER. 09/11) ,=;w .------------ 1 g; 4- r Cr ` : ;: r --- - t , " F Cy r- c . t. CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form / q y) 1.<6 L._ f " .( (U the undersigned, a regi tered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of h J f ] r J Y placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisan No party affiliation ❑ Party candidate for the office of (insert title office and include district, circuit, group, seat number, if applicable) .pate of Birth or Voter Registration Number Address (MM /DD/YY) D J �-`� 3 � S ft- C- $ en'T xi) . City County State Zip Code d IN) 704 Signature o Voter Date Signed (MM /DD/YY) [to be mpleted by Voter] 06 91,11111(S Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) - s : 4- c~) r . / t,o Cs7 CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed the form will not be valid as a Candidate Petition form. I, CL IO 7 - - P 11 the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisan I'll No party affiliation ❑ Party candidate for the office of (insert titid of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address )1-fe A (M IDD ) City Gots p a County State Zip Code 1 � Pft\ -- c33-(3-s— Signature of Voter Date Signed (MM /DD/YY) [to be compl ted by Voter] 0,y leg' Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) -. r. CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. (II c I V , the undersigned, a registered voter (print name as it appears o our voter information card) in said state and county, petition to have the name o tj \ t" \t placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ NonpartisanNo party affiliation ❑ Party candidate for the office of (insert title of o e a i nclude district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address p City County State Zip Code borioNi ` c 33\3 L Signature o oter Date Signed (MMIDD/YY) ` [to be com leted by Voter] Rule 1S -2.045 F.A. (jar F.A. DS - DE 104 09/11) r-- c "-"'• ') C - CANDIDATE PETITION Iki Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. a a rt , , C ,T I V� the undersigned, a registered voter print name as it appears on your voter information card) in said state and county, petition to have the name of a p`-- -1 MeiL11 placed on the Primary/General Election Ballot as a: [checWcomplete box, as applicable] ❑ Nonpartisan Ai No party affiliation ❑ Party candidate for the office of p-* , (insert title of o ce an include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/ ( I i�� (00U sv i t City County State Sa •s ----- 5:16 I , Signature of Voter r Date Signed (MMIDDIYY) a [to be co leted by Voter] ,.-‹.0...ec)si Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) L . ' <_ y . !`z7 co :-'D ` T ?/ }.". C w. co ,. + .J (1) ;' I CANDIDATE PETITION Notes: - All in ormation on this form becomes a public record upon receipt by the Supervisor of Elections. - It is . crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statut - fall r information on this form , of completed, the form will not be valid as a Candidate Petition f , ti I i e / PP �l the undersigned, a r gistered voter (print name as it appear on our voter information card) in said state and county, petition to have the name of nekNii h placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisan [ No party affiliation ❑ Party candidate for the office of (insert title of office an include district, circuit, group, seat number, if applicable) D ate of Birth " , or Vot r Registration Number Address (MM /D II 4.41• 25 / 9 -3/ /0 Ce -i8/1 O),,g -4' City County State Zip Code , ` 10 - 1 BE -rk ?n I rn i3 t -c am. 3 �3 K Si - of -r Date Signed (M /DD/YY) [to be complet by V o t l (-)14/1--- ' / Ru14 2.045, F.A.C. / DS -DE 104 (Eff. 09/11) 1� , 3 , »f� r-- 4- ' C .'a r LC 6 • CANDIDATE PETITION / Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. %,/ of - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statute; - If all requested information on this form is not completed, the form will not be valid as a Candidate Petit'on ' srm. r = II-- r I ' Se7 1 r / e _Cc 5 5 the undersigned, a registered voter (print n- e as it appears on your voter informatioqcard) '/ in said state and county, petition to have the name of D p4 (JJS ✓r ar r,lt.. t et' placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisan No party affiliation ❑ Party candidate for the office of y (insert title of offce and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM /DDIYY) 1/9//944, �i � su� �' .0.-- L,33 s< 0 City County State Zip Code * Signature of Voter Date Signed (MMIDD/YY) 1 s i / [to be completed by Voter] Rule 1S- 2.145, F.A.C. DS -DE 104 (Eff. 09/11) �, . r} h , cp , y r r € _y !' .... Cr) CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition rm. I, 74 '(1 �� n O�cc .,�.v { the undersigned, a registered voter 3'd kl✓� (print name as it appears on your voter information card) in said state and county, petition to have the name of a q placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM /DD/YY) ?o 7 3' ''" 61:7;e' avZs Ci County State Zip Code -33 Sign a of Voter Date Signed (MM /DD/YY) [to be completed by Voter] Rule 1S -2.0 , F.A.C. DS -DE 104 (Eff. 09/11) r— €' rr ' l ..1) CD - ? r4 CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. , ,e' - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] r. - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition f4; m. I, ®e 1 L 'e q t he undersigned, a registered voter ( ri name as it appears on your voter information car ) in said state and county, petition to have the name of JJ \'j 1 ' OCI placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisan ( party affiliation ❑ ' -KyC Party candidate for the office of I (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM /DD/YY) r) II i Pi- ? >3 69'2- 6 P r hL / City County lkyi [�,� State Zip Code .3DLJf7 I ( � j �� } c� �"�t.._a Signature of Voter Date Signed (MM /DD/YY) � ; [to be corn f 9// leted by Voter] / Rule 1S -2.045 F AC DS -DE 104 (Eff. 09/11) I -- ':J r°: C) / ,, c :) c `) .. — 1 .4— M .-i -1 -t r— ksij c 1 CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. l9 - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. c / efer t `� L p the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of ILU 1 r. %C. placed on the Primary/General Election Ballot as a: [checWcomplete box, as applicable] ❑ Nonpartisan p No party affiliation ❑ Party candidate for the office of lam' (insert title of office and include district, circuit, group, seat number, if applicable) D ate of Birth or Voter Registration Number Address � , f aVigb q b , City County State Zip Code :130t6k t..) TPA m qs'af-\-\ Tt...... 333% 1 Signature of Voter Date Signed (MMIDD/YY) ►' [to be completed by Voter] c- N* / .i / n6191 T Yr1 Rule 1S- 2.045, F.A.C. DS -DE 104 Eff. 09/11 ( 09/11) CA i : -�1 - CD 1 C r .,. , C -r . .g :11 r I en I J CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. tO OPP - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition for . t �� �p the undersigned, a registered voter ll (print name as it appears on your voter information card) in said state and county, petition to have the name of 1} 1 \ ' 1 1 CO` placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisan Ea No party affiliation ❑ Party candidate for the office of (insert title of offs and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address / � / � (MM /DD/YY) 03 !� �+ 1h P s�/2 6 �^ p" ov e 65-07- 2G City County State Zip Code Ty) y 1-.7 o r4 w• e.e,,,64 L 3 V Signatu oter Date Signed (MM /DD/YY) [to be omplet d by Voter] Rule 18- 2.045, F.A. . DS -DE 104 (Eff. 09/11) - • Cw J Zr V Y p CANDIDATE PETITION . Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petitio or I,, , � / r . �`� , the undersigned, a regi tered voter nt name as it appears on our voter information card (p pP Y ) in said state and county, petition to have the name of � 1 0 1 d, ► VMe.c placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisan , No party affiliation ❑ Party candidate for the office of (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM /DD/YY) ^ City County State Zip Code 4.44�Wri--.---z- j4 Pr\ ,\ �= i 3 1733 Si ture of Voter Date Signed (MM /DD/YY) [to be completed by Voter] 01 Rule 1S- 2.045, F.A.C. 1 DS -DE 104 (Eff. 09/11) -t. M..ry 1 "7 Y` Tp CD I a ; } C? fn ar . • .sy ces CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. I7) , , l A/1 �f1 so 1, a the undersigned, a registered voter 1 . 11� (print name ass appears onn your voter information card) in said state and county, petition to have the name of 1 A'j C 1C.:t — placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisan No No party affiliation ❑ Party candidate for the office of et' ofL (insert titi office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address City County State Zip Code 1 60) 114 ( Palm 3th 33 Signature of Voter Date Signed (MMIDD/YY) C j 11 1 10/(A. - ilLita-hQ/Cr ( A6/I [to be completed by Voter] Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) C) 1 C7 --0 T _„( • C) N ' C; r r— CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition for /) / jU (" P the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of Datil placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] D Nonpartisan ] No party affiliation ❑ Party candidate for the office of (insert title of ice and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MMIDD/YY)'' lU iv‘74tvg- i 2 , 9)Sd big pc0z - (j City County State Zip Code o Bacibt..) nak Futy\ T5.5. Ap Signature of • er Date Signed (MMIDD/YY) [to be completed b Voter] gatizad � / & 'vet / s Rule 1S- 2.045, F.A.C. Ur DS -DE 104 (Eff. 09/11) • cs-o `: L 71 rn C) r • r— i`f! CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this for is not completed, the form will not be valid as a Candidate Petition for . .J , �� (.D. r � the undersigned, a registered voter ~ (print name as it appears on your voter information card) in said state and county, petition to have the name of IDIL.3 P� j ! r-�r� jL1L placed on the Primary/General Election Ballot as a: [checWcomplete box, as applicable] ❑ Nonpartisan No party affiliation ❑ Party candidate for the office of (insert titl of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address i/ i/ke--) - )L9 a b 0 v 64076 City County State Zip Code �J B t TO lm 1 1. _ 3 3'k3 Signature of Voter Date Signed (MMIDDIYY) V AIPP [to be completed by Voter] a`1 iVI 2.a INY Rule 1S -2.045 F.A.• DS -DE 104 (Eff. 09/11 C:h r T � : �. ;ID rri ..- 3 C C3 — '1d . 17 ° "' r . l c ::': r J .. C? /v — cD C CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. (9 FE ) the undersigned, a registered voter (print name as it appears on your vo er information card) in said state and county, petition to have the name of U1 0 placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisan No party affiliation ❑ Party candidate for the office of (insert title of office and clude district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address [ D (MM /DD/YY) City County State Zip Code SC-Zi& PPANN\ .171}N" Signature of Voter Date Signed (MM /DD/YY) [to be co pleted b Voter] Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) C r,7 CD IN) -1 CD Ci° 1, r•3( CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. 6 - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] / �--� - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. g _ L $i the undersigned, a registered voter (print name as it appears on your voter in��fornation card) in said state and county, petition to have the name of D14 placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisan No party affiliation ❑ Party candidate for the office of (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registr tion Number Address (MM /DD/YY) 3 / / 9 //o9 / #-0/7 440 Ael,; City County State Zip Code TO Linn r&firi 117 3 5 Signature of Vote Date Signed (MMIDD/YY) [to be co7 leted by Voter] Rule - .045, F.A.C. DS -DE 104 (Eff. 09/11) r p T3 C - (71 "l ° r p cp Q Die CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. A--- - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] c - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. I; J��� �, 6 y_ r.--( b- q -e r the undersigned, a registered voter � (print name as it appears on your vdter information card) in said state and county, petition to have the name of placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisan ] No party affiliation ❑ Party candidate for the office of (insert title of office an include district, circuit, group, seat number, if applicable) ' Date of Birth or Voter Registration Number Address (MM /DDNY) D b 1 7, \ 6 1�f o3 Wttdg_akk Or 9 City County State Zip Code ?auf P2ith..TI-P•sv ri..__ 3 Vg 6. Signature 1 .f Voter Date Signed (MMIDD 1,1_____ _c._6 er,ev C [to be comp le t ed by Vote)] Rule 1S 14 , F.A.C. DS -DE 104 Eff. 09/11 l i e' D C e C8 . j J D I C .i.3 . i1 c— °t a P1 r°=- ) (-) DaA CANDIDATE PETITION 7164 Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. �-f q--r- 1 1" the undersigned, a registered voter 1 (print name as it appears on your voter information card) ` in said state and county, petition to have the name of � ` 9'1 (; 'v\ 1 placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] r . ❑ Nonpartisan l o partyy affiliation � ❑ Party candidate for the office of `� r1 J , r' l 9 . (insert tie of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address City County State Zip Code 60'iturdid 0 af- Po —L-11 6 c- -c44 PL-- ? - Signature of Voter Date Sig (MMIDD/YY) 5 [to be completed by Voter] Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) ri.7 . . ,:`: :6 � 1 • - m t -ID C i)